Impact on the quality of life of patients whit Parkinson’s Disease with risk of dysphagia

Abstract

RESUMOObjetivo. Avaliar o impacto na qualidade de vida de portadores da Doença de Parkinson (DP) com risco para disfagia. Método. Participaram pacientes com DP do ambulatório de Distúrbios do Movimento de um hospital de Porto Alegre; com classificação da doença pela escala Hoehn & Yahr; que responderam questionário fonoaudiológico, questionário EAT-10 e questionário SWAL-QOL. Resultados. A amostra foi composta de 25 sujeitos: 16 (64%) do sexo masculino. A média de idade foi de 64,5 anos e do tempo de doença de 11 anos. 18 (72%) participantes possuem H&Y entre 2 e 3. Houve correlação do questionário SWAL-QOL com o questionário fonoaudiológico, no domínio fadiga com queixa de emagrecimento recente (p=0,01), com mudança na consistência alimentar (p=0,015), com a atual consistência ingerida pelo paciente (p=0,02) e com alteração na fase oral (p=0,04); o domínio duração da alimentação com presença de escape anterior de saliva (p=0,01) e com a consistência referida na queixa (p=0,045); o domínio comunicação com alteração na fase oral (p=0,04) e com alimentação atual (p=0,036) e o domínio frequência dos sintomas com alteração na mastigação (p=0,038). Conclusão. Verificou-se que os portadores de DP com risco para disfagia sofrem impacto na qualidade de vida, principalmente, no domínio da comunicação oral. ABSTRACTObjective. To evaluate the impact on the quality of life of patients whit parkinson's disease with risk of dysphagia. Method. This study included patients with DP with risk of dysphagia who attended at the movement disorders clinic from a hospital in Porto Alegre. With disease staging according to the Hoehn & Yahr scale for disease severity; answered a Speech Therapy questionnaire, EAT-10 questionnaire and SWAL-QOL questionnaire. Results. The sample consisted in 25 patients: 16 (64%) male. The average age was 64.5 and the average disease duration was 11 years. 18 (72%) participants had H&Y between 2 and 3. The correlation between the SWAL-QOL and the Speech Therapy questionnaire were correlated with tiredness area and recent weight loss (p=0.01), change in the food consistency (p=0.015), current consistency ingested (p=0.02) and oral phase alteration (p=0,04); nutrition length area and saliva releasing (p=0.01) and consistency about dysphagia complaint (p=0.045); communication area (p=0.04) and oral phase alteration (p=0.036) as well as current nutrition and the area frequency of the symptoms and chewing alterations (p=0.038). Conclusion. It has been found that patients with Parkinson's disease with risk of dysphagia sufferers impact on quality of life, especially in the field of oral communication.

The importance of dysphagia screening and nutritional assessment in hospitalized patients

“…A study conducted by Freire et al, ( 26 ) in a hospital in Porto Alegre (RS), including specifically patients with Parkinson’s disease identified and associated dysphagia risk, by using the EAT-10, with changes in quality of life, mainly in relation to oral communication domain. In a study including 360 individuals with dysphagia, the EAT-10 score was observed as a predictor for occurrence of bronchoaspiration.…”